DUSTIN WADE

SHAWNEE, OK
NPI1013323336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  91102)
Enumeration Date2014-07-08
Last Update Date2023-06-13
Business Address
DUSTIN WADE
2508 N HARRISON ST
SHAWNEE, OK 74804-3131
Phone number: 405-585-2030
Mailing Address
DUSTIN WADE
821 E VETERANS MEMORIAL HWY
BLANCHARD, OK 73010-9215
Phone number:
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